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Biomedical subjects

J Chessare

Publications and source records attributed to J Chessare.

4 recordsLinked to original sources
PubMed1987

Help with prenatal household tasks and newborn birth weight: is there an association?

Although prenatal psychosocial factors influence pregnancy outcome, the specific components of prenatal social support which affect infants' birth weight have not been examined prospectively. To define those elements of prenatal social support which are associated with newborn birth weights, we studied 198 indigent mothers seen consecutively by a social worker at a community hospital-based obstetrical clinic. At the first prenatal clinic visit, we used the Maternal Social Support Index (MSSI) to assess the availability of help with daily tasks, a communicative male and other adults, emergency child care, and community involvement. The only MSSI item related to low birth weight (LBW less than or equal to 2,500 g) for both multigravida and primigravida mothers was daily task sharing. Help with grocery shopping and the process of paying bills (p = 0.0007) were both significantly associated with LBW for multigravida mothers. Significant items for primigravida mothers included help with inside cleaning (p = 0.03) and working outside (p = 0.005). Help with things around the house was associated with LBW for both multigravida (p = 0.02) and primigravida (p = 0.04) mothers. Car availability was associated with low birth weight only for multigravida mothers (p = 0.006). Stepwise discriminant function analysis was performed for multigravida mothers. Low birth weight was the dependent variable. Eight well-known risk factors for low birth weight (excluding daily tasks) were the independent variables. The "best" function included marital status, maternal age, gravidity, and smoking during pregnancy. The addition of daily task-sharing to this model increased sensitivity (low birth weight classified low birth weight by the model) from 21% to 50%.(ABSTRACT TRUNCATED AT 250 WORDS)

Activities of Daily Living↗
PubMed1986

Maternal social support as a predictor of mother-child stress and stimulation.

There is increasing interest in the role of social support in determining risk for child abuse and neglect. The present study assessed the relationship between maternal social support and two areas: stress in the mother-child relationship: and level of stimulation provided in the home. Maternal social support was assessed prenatally and at a two-year follow-up, while the latter variables were compiled at the two-year follow-up. The data were obtained from 38 urban, low SES (80% on public assistance) mothers and their 2-year-old children. Maternal social support correlated positively with level of stimulation and negatively with level of mother-child stress, and was the best predictor of both, relative to any SES, mother or child variables. In addition, high stress, low support mothers provided significantly less stimulation to their children. The theoretical implications for social support as a mediator variable as well as its implications for early identification and prevention efforts in abuse and neglect are discussed.

Adolescent↗